Bakia A., 22

Bakia Akter, a 22-year-old kind and soft-spoken housewife, lives with her husband Hasan, a rickshaw driver earning only 8,000 BDT per month, their 5-year-old daughter Hanfia, and her elderly mother-in-law Akhiya Tara Begum. Despite the family’s poverty, Bakia always dreamed of a peaceful life and safe motherhood. At 37 weeks of her second pregnancy, she suddenly developed severe lower abdominal pain and tenderness over her previous cesarean scar, with reduced fetal movement. Doctors discovered severe oligohydramnios and warned that without an urgent cesarean section, both Bakia and her unborn baby could lose their lives due to uterine rupture and fetal distress. With no savings and an income barely enough for food, the family was forced to take a loan to afford the emergency surgery in a desperate attempt to save mother and child.

After experiencing severe lower abdominal pain and tenderness over her previous Cesarean scar, along with decreased fetal movements, Bakia Akter presented to our hospital at 5:30 PM on 10th October 2025. Upon admission, she underwent an urgent clinical evaluation and ultrasonography, which confirmed severe oligohydramnios with signs of fetal distress, placing both mother and baby at high risk. Due to her obstetric history and the compromised fetal condition, a normal delivery was deemed unsafe. Recognizing the emergency, the medical team promptly planned and performed an immediate Cesarean section. The surgery was successfully completed, resulting in the safe birth of a healthy baby. Postoperatively, both mother and child remained stable and showed excellent progress with no complications observed. Following continuous monitoring and supportive care, Bakia recovered well and was deemed fit for discharge. She was released from the hospital at 10:30 AM on 13th October 2025, along with her newborn, both in good health. Bakia’s family expressed their deepest gratitude to Helpster Heroes and the entire healthcare team for providing timely and life-saving intervention that ensured a positive outcome for both mother and baby

The recommended treatment for this case is a Lower Uterine Cesarean Section (LUCS) to safely deliver the baby and prevent complications. This procedure will help relieve the pressure on the uterine scar, reduce the risk of uterine rupture, and ensure adequate oxygen supply to the baby affected by severe oligohydramnios. With timely surgery, both mother and child are expected to recover well and lead healthy lives. However, if the condition is left untreated, the scar may rupture, causing severe internal bleeding, loss of the baby, and even life-threatening danger to the mother. Immediate intervention is therefore crucial for survival and recovery.